{"id":4323,"date":"2022-10-07T15:13:01","date_gmt":"2022-10-07T14:13:01","guid":{"rendered":"https:\/\/cdrc.nhs.uk\/?page_id=4323"},"modified":"2023-02-15T11:42:46","modified_gmt":"2023-02-15T11:42:46","slug":"safeguarding-adults","status":"publish","type":"page","link":"https:\/\/cdrc.nhs.uk\/resources\/systmone-resource-centre\/safeguarding-system\/safeguarding-adults\/","title":{"rendered":"Safeguarding Adults"},"content":{"rendered":"\n<h2 class=\"has-text-color wp-block-heading\" style=\"color:#009f98\">Safeguarding Adult Register&nbsp;<\/h2>\n\n\n\n<p>Adults are included in the organisation&#8217;s Safeguarding Adult Register via the presence of a Read code indicating they are at risk <span style=\"text-decoration: underline;\">WITHOUT<\/span> a subsequent code of&nbsp;<strong>Adult no longer vulnerable<\/strong>.&nbsp;<\/p>\n\n\n\n<p>Read codes that indicate possible risk include:&nbsp;<\/p>\n\n\n\n<ul><li>Domestic abuse&nbsp;<\/li><li>Physical, sexual, emotional abuse&nbsp;<\/li><li>FGM&nbsp;<\/li><li>Honour-based violence and forced marriage&nbsp;<\/li><li>Exploitation and trafficking&nbsp;<\/li><li>Any other form of abuse&nbsp;<\/li><li><em>Vulnerable adult<\/em>&nbsp;<\/li><\/ul>\n\n\n\n<p>Adults on these lists can be found in the following searches: CDRC &gt; Safeguarding&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"698\" height=\"31\" src=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-215.png\" alt=\"\" class=\"wp-image-4324\" srcset=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-215.png 698w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-215-300x13.png 300w\" sizes=\"(max-width: 698px) 100vw, 698px\" \/><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Flags&nbsp;<\/h4>\n\n\n\n<p>Adults on the safeguarding register will be flagged with the following icon:&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-223.png\" alt=\"\" class=\"wp-image-4335\" width=\"33\" height=\"32\"\/><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Systematic Review&nbsp;<\/h4>\n\n\n\n<p>Adults on the register can be given a&nbsp;<strong>Safeguarding<\/strong>&nbsp;recall to allow systematic review.&nbsp;The review date is shown on the safeguarding template.&nbsp;<\/p>\n\n\n\n<p>The following search identifies children on the register who do not have a review date:&nbsp;<\/p>\n\n\n\n<p><strong>CDRC &gt; Safeguarding &gt; *Adult with Safeguarding issues but no safeguarding review date&nbsp;<\/strong><\/p>\n\n\n\n<p>The following search identifies children whose review is pending or overdue.&nbsp;This can be used for clinical or other review meetings.&nbsp;<\/p>\n\n\n\n<p><strong>CDRC &gt; Safeguarding &gt; * Adult due for safeguarding review&nbsp;<\/strong><\/p>\n\n\n\n<div style=\"height:15px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"has-text-color wp-block-heading\" style=\"color:#009f98\">Safeguarding Adult Template<\/h2>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-getwid-accordion has-icon-left\" data-active-element=\"none\">\n<div class=\"wp-block-getwid-accordion__header-wrapper\"><span class=\"wp-block-getwid-accordion__header\"><a href=\"#\"><span class=\"wp-block-getwid-accordion__header-title\">How to Access<\/span><span class=\"wp-block-getwid-accordion__icon is-active\"><i class=\"fas fa-plus\"><\/i><\/span><span class=\"wp-block-getwid-accordion__icon is-passive\"><i class=\"fas fa-minus\"><\/i><\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-accordion__content-wrapper\"><div class=\"wp-block-getwid-accordion__content\">\n<p>In the lower left hand corner use the search bar, type in &#8216;Safeguarding Adults CDRC&#8217; and select the following template:<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/10\/image-369.png\" alt=\"\" class=\"wp-image-5218\" width=\"319\" height=\"27\" srcset=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/10\/image-369.png 503w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/10\/image-369-300x25.png 300w\" sizes=\"(max-width: 319px) 100vw, 319px\" \/><\/figure>\n\n\n\n<p>Alternatively, press F12 and search for &#8216;Safeguarding Adults CDRC&#8217;, this will open the aforementioned template.<\/p>\n<\/div><\/div>\n<\/div>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>The <strong>Safeguarding Adults CDRC<\/strong> template provides an overview of safeguarding for the selected patient.&nbsp;A thumbnail sketch can be entered at the top of the page to provide an aide-memoir for meetings etc.&nbsp;This is added by clicking the&nbsp;<strong>Safeguarding Summary&nbsp;<\/strong>button or right clicking the current thumbnail and choosing&nbsp;<strong>Copy Questionnaire.&nbsp;<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"975\" height=\"494\" src=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-216.png\" alt=\"Safeguarding \nAdults \nSa feguar ding Summar y \nAdd Safeguarding Recall \nDiscussion \nMDT Meeting \nEntered by \nFORBES, \nChild Safeguarding Summary \nSummary of Concerns\/Events \nSafeguarding Recall Not Recorded \nGareth (Dr) (General Medical Practitioner) \nVictim of domestic violence - attacked by \nfractured ribs \nFox-y Lox-y 2016 \n- and hospitalised with \nShow All Safeguarding !pformation \nAddFemove From Register \nFamilyyousehold Concern \nDomestic Abuse \nDomestic Incident Police Repon \nMARAC \nVulnerable Adult Referral \nRecord of current SAFEGUARDING CONCERN \nNO record ofvulnerable people in famitymousehold \nNO record of Domestic Abuse Information \nDomestic Incident Police Report Recorded \nMARAC Information Recorded \nNO record of FGM Information \nAdult Safeauardina Risk Threshold Tool \" class=\"wp-image-4326\" srcset=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-216.png 975w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-216-300x152.png 300w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-216-768x389.png 768w\" sizes=\"(max-width: 975px) 100vw, 975px\" \/><\/figure>\n\n\n\n<p>The Safeguarding Recall panel shows when the adult is next due to be reviewed for safeguarding issues.&nbsp;This can be set to reflect the level of concern e.g. needs to be discussed in 2 weeks or in 6 months.&nbsp;Reports in CDRC reporting identify adults with safeguarding issues who have a pending\/overdue recall or no recall.&nbsp;<\/p>\n\n\n\n<p>The&nbsp;<strong>Discussion&nbsp;<\/strong>box is used to record important narrative.&nbsp;Previous discussions can be followed down the right hand side of the template.&nbsp;<\/p>\n\n\n\n<p>The&nbsp;<strong>Show All Safeguarding Information<\/strong><em>&nbsp;<\/em>button opens a template that shows all coded information that might be relevant to safeguarding, including out of hours attendance and DNAs.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"987\" height=\"653\" src=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-217.png\" alt=\"30 Jul 2015 \nNotes \n22 May 2017 \nNotes \n04 Jun 2017 \nNotes \nDiscussion about child health [XaPJc) \nNo further concerns \nDiscussion about child health [XaPdc) \nfurther episode of domestic violence disclosed \nDiscussion about child health [XaPdc) \nReferred for section 47 assessment \nChild Protection ListPlan Codes \nChild in Need Information \nCause for Concern Information \n18 Sep 2015 Child is cause for concern IXaMzr) \nNotes \nSelf Harm \nin a house with domestic violence \nDrug and Alcohol Codes \nDomestic Abuse Information \n18 Sep 2015 Police domestic incident report received Xaaqr) \nNotes \nIn house with domestic vioence \nSocial Service InvoVement \nMARACNAPPA \n18 Sep 2015 Subject of multi-agency risk assessment conference IXaXg6) \nNotes \nfewJfehs \n1 g Jun 2017 Subject of multi-agency risk assessment conference [XaXg6) \nConcern ResoVed Codes \nDNA Information \nlg Nov 2013 Did not attend kG) \nNotes \n13 Dec 2013 Did not attend kG) \nmms \" class=\"wp-image-4327\" srcset=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-217.png 987w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-217-300x198.png 300w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-217-768x508.png 768w\" sizes=\"(max-width: 987px) 100vw, 987px\" \/><\/figure>\n\n\n\n<p>The next panel shows some key information with links to templates to display or record additional information.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Information&nbsp;<\/strong><\/td><td><strong>Link&nbsp;<\/strong><\/td><\/tr><tr><td>Whether or not the adult is currently on the practice safeguarding register&nbsp;<\/td><td><a href=\"\/\/d.docs.live.net\/d9ee9bfd984f25ef\/DCS\/Derwentside%20Clinical%20System\/LTC%20Management\/Safeguarding\/Children.one\" target=\"_blank\" rel=\"noreferrer noopener\">Template<\/a>&nbsp;to add\/remove the patient from the register&nbsp;<\/td><\/tr><tr><td>Whether or not there are other people of concern in the household e.g. children, other vulnerable adults&nbsp;<\/td><td>Link template to flag the record to show there are other vulnerable people in the household&nbsp;<\/td><\/tr><tr><td>Whether or not there is any recorded information about domestic abuse&nbsp;<\/td><td>Domestic abuse template&nbsp;<\/td><\/tr><tr><td>Whether or not there is a record of police domestic incident reports.&nbsp;<\/td><td>A protocol to guide user through recording a police domestic incident report&nbsp;<\/td><\/tr><tr><td>Whether or not the child has been recorded in a MARAC&nbsp;<\/td><td>A protocol to guide user through recording MARAC information&nbsp;<\/td><\/tr><tr><td>Whether or not there is information about FGM&nbsp;<\/td><td>Template to display\/add information about FGM&nbsp;<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>The next section has a link to a page for making a safeguarding referral along with tools to assess the level of risk and help decide on the most appropriate intervention.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Additional pages in this template:<\/h4>\n\n\n\n<div class=\"wp-block-getwid-accordion has-icon-left\" data-active-element=\"none\">\n<div class=\"wp-block-getwid-accordion__header-wrapper\"><span class=\"wp-block-getwid-accordion__header\"><a href=\"#\"><span class=\"wp-block-getwid-accordion__header-title\">Relative \/ Carers<\/span><span class=\"wp-block-getwid-accordion__icon is-active\"><i class=\"fas fa-plus\"><\/i><\/span><span class=\"wp-block-getwid-accordion__icon is-passive\"><i class=\"fas fa-minus\"><\/i><\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-accordion__content-wrapper\"><div class=\"wp-block-getwid-accordion__content\">\n<p>The&nbsp;<strong>Rels\/Carers&nbsp;<\/strong>page shows currently recorded relationships.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"982\" height=\"689\" src=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-218.png\" alt=\"Hom RelsjCarers \nrofsjSchool \nRelatives\/Carers \nRecord Relationship \nFind Co-habtants \nCarers Details \nChild Protection Referral Child Protection Conf \nBruising in Non-Mobile Children \nMother \nContacts \nResources \nReport \nFamily Relationships \n23 Jul 2015 \nName \nAddress \n23 Jul 2015 \nName \nAddress \nJemima Duck \n4 Watling Street \nconsett \nFather \nMickey Mouse \n4 Watling Street \nconsett \nNo recorded information about carers \" class=\"wp-image-4328\" srcset=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-218.png 982w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-218-300x210.png 300w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-218-768x539.png 768w\" sizes=\"(max-width: 982px) 100vw, 982px\" \/><\/figure>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-accordion__header-wrapper\"><span class=\"wp-block-getwid-accordion__header\"><a href=\"#\"><span class=\"wp-block-getwid-accordion__header-title\">Professionals<\/span><span class=\"wp-block-getwid-accordion__icon is-active\"><i class=\"fas fa-plus\"><\/i><\/span><span class=\"wp-block-getwid-accordion__icon is-passive\"><i class=\"fas fa-minus\"><\/i><\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-accordion__content-wrapper\"><div class=\"wp-block-getwid-accordion__content\">\n<p>The&nbsp;<strong>Profs\/Schools<\/strong><em>&nbsp;<\/em>page shows recorded professionals&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"852\" height=\"500\" src=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-219.png\" alt=\"Professionals \nRecord Relationshg \n11 Jun 201g \nName \nOrganisation \nWork Contact \nSocial Worker \nMr Turkey Lurkey \nocc \n01 2345678go \" class=\"wp-image-4329\" srcset=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-219.png 852w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-219-300x176.png 300w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-219-768x451.png 768w\" sizes=\"(max-width: 852px) 100vw, 852px\" \/><\/figure>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-accordion__header-wrapper\"><span class=\"wp-block-getwid-accordion__header\"><a href=\"#\"><span class=\"wp-block-getwid-accordion__header-title\">Adult Safeguarding Referral&nbsp;<\/span><span class=\"wp-block-getwid-accordion__icon is-active\"><i class=\"fas fa-plus\"><\/i><\/span><span class=\"wp-block-getwid-accordion__icon is-passive\"><i class=\"fas fa-minus\"><\/i><\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-accordion__content-wrapper\"><div class=\"wp-block-getwid-accordion__content\">\n<p>The&nbsp;<strong>Vulnerable Adult Referral&nbsp;<\/strong>page is customised for each area and gives clear details on how to make a referral along with a prepopulated referral proforma.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"890\" height=\"547\" src=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-220.png\" alt=\"Home Rels profs Vulnerable Adult Referral \nVulnerable Adult Referral \nResources \nReports \nSensitive Information \nDarlington \nDurham \nDurham Safeauardina Adults Website \nAdult Safeauardina Risk Threshold Tool \nTo refer avulnerable adult call \nsocial care Direct on 03000 26 79 79 \nReferral Proforma \nBackto Home Page \" class=\"wp-image-4330\" srcset=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-220.png 890w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-220-300x184.png 300w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-220-768x472.png 768w\" sizes=\"(max-width: 890px) 100vw, 890px\" \/><\/figure>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-accordion__header-wrapper\"><span class=\"wp-block-getwid-accordion__header\"><a href=\"#\"><span class=\"wp-block-getwid-accordion__header-title\">Adding\/Removing From Register&nbsp;<\/span><span class=\"wp-block-getwid-accordion__icon is-active\"><i class=\"fas fa-plus\"><\/i><\/span><span class=\"wp-block-getwid-accordion__icon is-passive\"><i class=\"fas fa-minus\"><\/i><\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-accordion__content-wrapper\"><div class=\"wp-block-getwid-accordion__content\">\n<p>The&nbsp;<em>V<\/em><strong>ulnerable Adult Register<\/strong><em>&nbsp;<\/em>template allows you to add the adult to the register (top half) or remove them (bottom half).&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"851\" height=\"510\" src=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-222.png\" alt=\"Safeguarding Adults Register \nVulnerable Adult Register \nuse this box to record an adult who is 'vulnerable' \nRecord the nature of the concern in the notes box. \nEither code will add the patient to your vulnerable patient register \nVulnerable adut \nVictim of domestic abuse \nRecord of current SAFEGUARDING CONCERN \n18 Sep 2015 Vulnerable adult [Xaav) \nNotes \nhit by partner Mickey mouse \nDomestic Abuse Information \n18 Sep 2015 Police domestic incident report received \nNotes \nhit by partner Mickey Mouse \nMore specific concerns can be recorded her4 \nuse this section to record if an adult is no longer vulnerab14 \nThis will remove them from your vulnerable adult register \nAdut no longer vulnerable \ns for Concern \" class=\"wp-image-4332\" srcset=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-222.png 851w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-222-300x180.png 300w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-222-768x460.png 768w\" sizes=\"(max-width: 851px) 100vw, 851px\" \/><\/figure>\n\n\n\n<p>More specific codes can be added if required.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"611\" height=\"491\" src=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-221.png\" alt=\"Abuse \nAbuse \nAll these codes will add the patient to your vulnerable adult register \nVictim of Abuse \nAt Risk Of Abuse \nV)ctim of domestic abuse (XaaSO) \nVictim of physical abuse (Lla2A7) \nVictim of sexual abuse (Lla2AA) \nVictim of sexual exploitation (XaXrY) \nVictim of emotional abuse (XaLVg) \nVictim of domestic violence (XaLVA) \nVictim of honour based violence (XaYVvi) \nVictim of financial abuse (Lla2AC) \nHistory of female gental mutilation (Xab2S) \nVictim of human trafficking (XaaOi) \nAt risk of neglect by others (XaKbS) \nAt risk of abuse (Lla2So) \nAt risk of physical abuse (XaKbR) \nAt risk of sexual abuse (XaKbT) \nAt risk of sexual exploitation (XabRV) \nAt risk of emotionalyisychological abuse (XaK \nAt risk violence in the home (1 3VF J \nAt risk of financial abuse (XaZMX) \nAt risk of female gental mutilation (XabSp) \n[3 At risk of human trafficking (Xaerl) \" class=\"wp-image-4331\" srcset=\"https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-221.png 611w, https:\/\/cdrc.nhs.uk\/wp-content\/uploads\/2022\/09\/image-221-300x241.png 300w\" sizes=\"(max-width: 611px) 100vw, 611px\" \/><\/figure>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Safeguarding Adult Register&nbsp; Adults are included in the organisation&#8217;s Safeguarding Adult Register via the presence of a Read code indicating they are at risk WITHOUT a subsequent code of&nbsp;Adult no longer vulnerable.&nbsp; Read codes that indicate possible risk include:&nbsp; Domestic abuse&nbsp; Physical, sexual, emotional abuse&nbsp; FGM&nbsp; Honour-based violence and forced marriage&nbsp; Exploitation and trafficking&nbsp; Any [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":0,"parent":4321,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Safeguarding Adults - Clinical Digital Resource Collaborative<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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